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Creation of a universal language for surgical procedures using the step-by-step framework.

T Nazari1,2, E J Vlieger1, M E W Dankbaar3

  • 1Incision Academy Amsterdam The Netherlands.

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|June 29, 2018
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Summary

A new framework standardizes surgical procedure segmentation for better learning and communication. This consensus-based approach creates a universal language for surgical education worldwide.

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Area of Science:

  • Surgical Education
  • Medical Procedure Standardization
  • Surgical Workflow Analysis

Background:

  • Traditional surgical learning relies on the master-apprentice model.
  • Current methods for segmenting surgical procedures are not standardized, limiting their use across specialties.
  • A need exists for a standardized framework to segment surgical procedures into steps.

Purpose of the Study:

  • To establish consensus on a step-by-step framework for standardizing surgical procedure segmentation.
  • To create a universal language for describing surgical steps.
  • To improve surgical education, communication, and assessment.

Main Methods:

  • A Delphi technique was employed with an international expert panel of surgeons.
  • Experts rated statements on the framework's preciseness, novelty, usefulness, and applicability using a five-point Likert scale.
  • Consensus was achieved when the lower confidence limit of ratings was 3.00 or higher.

Main Results:

  • In round one, 18 out of 19 statements were accepted by 20 participating experts.
  • Further clarification led to five new statements for round two, which were all accepted by 22 experts.
  • The expert panel supported the framework's preciseness, usefulness, and applicability.

Conclusions:

  • The developed step-by-step framework is precise, useful, and applicable for standardizing surgical procedure segmentation.
  • This framework establishes a universal language based on anatomical structures for surgical descriptions.
  • Standardized segmentation facilitates global surgical education, communication, and performance assessment.